Clinical decisions made easier with BMJ Best Practice

• Introduction to BMJ Best Practice

• How to navigate BMJ Best Practice (clinical case)

• How to access

• Other BMJ resources available

Agenda

Introduction to BMJ Best Practice

• Clinical decision support tool

• Combines the latest evidence, guidelines and expert opinion in a single source

• Information is structured around the patient consultation – quick and intuitive to use

• Robust editorial process

• Internationally focused

• Regularly updated

What is BMJ Best Practice?

• Integrated evidence from BMJ Clinical Evidence

• Critical prescribing information from Martindale

• Patient leaflets to support shared decision making

• BMJ Portfolio to track your activity

What is BMJ Best Practice?

Assessment monograph• How to evaluate a symptom (e.g. chronic cough)• Clinical finding (e.g. peripheral oedema)• Diagnostic test finding (e.g. metabolic acidosis)

Monograph types

Condition monograph• Provides comprehensive information on a specific condition or group

of conditions

Monograph types

Overview monograph• Provides a summary of a category of conditions

Monograph types

• Click on the ‘Show conditions’ tab on any page

• Choose a category from the menu on the left

• You can browse ‘All conditions’, ‘Assessments’, ‘Overviews’, or by specialty

Browsing monographs

Searching

• Search for multiple symptoms (no more than two recommended)

• Search for a phrase (e.g. “abdominal pain in children”)

• AND search command is default (e.g. fever rash)

• OR search command (e.g. fever OR rash)

• NOT search command (e.g. fever NOT rash)

• Search will remove common suffixes (e.g. breathing will find breath)

• Search will find synonyms (e.g. acetaminophen will find paracetamol)

Searching tips

How to navigate BMJ Best Practice

Clinical case

• A 70-year-old man is discovered by a family member to have difficulty speaking and extreme balance difficulty

• The family member brings him to you in the Emergency Ward

• He was last known to be fully functional 1 hour ago when the family member spoke to him by phone

• There is a history of treated hypertension and diabetes

• How should you proceed with assessing and managing this patient?

How to access BMJ Best Practice

Access options

• On-site

• Remote

• Mobile

On-site access

• Access via Library website

• Or go straight to bestpractice.bmj.com from a networked computer

Remote access

• Register for a ‘My BMJ Best Practice’ account from an on-site, networked computer, and use this to login remotely

Mobile access

• iOS and Android apps available

• Requires a ‘My BMJ Best Practice’ account to access

• Create your ‘My BMJ Best Practice’ account on an on-site, networked computer

• Refer to the step-by-step guide on the Library website for detailed instructions

• No internet connection required to use the app after download

• Download from the App Store

• Login with your ‘My BMJ Best Practice’ username and password

• ‘All topics’ will automatically begin to download

iOS app (iPad, iPhone and iPod touch)

• Download from Google Play

• Login with your ‘My BMJ Best Practice’ username and password

• ‘All topics’ will automatically begin to download

Android app

Other BMJ resources available

• Hundreds of peer-reviewed, evidence-based online CPD modules covering over 70 specialties

• Text, audio and video formats

• Plan, track and record your progress in BMJ Portfolio

• Download certificates of completion

• To access, go to learning.bmj.com/ramsay from an on-site, networked computer and create your free account

BMJ Learning

• The world’s largest online repository of clinical cases (>10,000)

• Browse the website or submit your own case

• To access, go to casereports.bmj.com from an on-site, networked computer

• Fellowship code required to submit a case:

BMJ Case Reports

Greenslopes 868223

Hollywood 868224

Joondalup 877514

Other sites 201006

BMJ Journals

Acupuncture in Medicine Evidence Based Nursing

BMJ Gut

BMJ Supportive and Palliative Care Heart

Drug and Therapeutics Bulletin Injury Prevention

Journal of Family Planning and Reproductive Health Care Journal of Clinical Pathology

Journal of the Royal Army Medical Corps Journal of Epidemiology and Community Health

European Journal of Hospital Pharmacy Journal of Medical Ethics

Annals of the Rheumatic Diseases Journal of Medical Genetics

Archives of Disease in Childhood Journal of Neurology, Neurosurgery, and Psychiatry

British Journal of Ophthalmology Occupational and Environmental Medicine

British Journal of Sports Medicine Postgraduate Medical Journal

Emergency Medicine Journal Quality & Safety in Health Care

Evidence Based Medicine Sexually Transmitted Infections

Evidence Based Mental Health

• More than 25 specialty titles from BMJ

• To access, go to journals.bmj.com from an on-site, networked computer and choose a journal from the ‘Browse Journals’ drop-down list